D.3 Reference Contract Worksheet.docx
DOCX document 14 KB Posted
- Solicitation number
- 36C26224Q1360
About this file
This document is a Reference Contract Worksheet that requests information about a prior contract held by the offeror or their proposed subcontractor. The requested details include the legal name of the contracting entity, contract number, whether the contract was for providing housing and recuperative care supportive services in community-based facilities, a description of the specific tasks performed, the geographic location, contract dates, average monthly number of people served, and whether the offeror or subcontractor was the prime or subcontractor. A point of contact at the contracting entity is also required to verify the information provided. This worksheet may be replicated for additional reference contracts.
The related federal contract opportunity is a Request for Quote (RFQ) from the Department of Veterans Affairs, Network Contract Office (NCO) 22 to provide housing and recuperative care services in community-based facilities within a 15-mile radius of the West Los Angeles Veterans Administration Medical Center. This is a Firm Fixed Price (FFP) Single-Award Indefinite Delivery Indefinite Quantity (IDIQ) contract with a five-year ordering period. Responses are due by 10:00AM Pacific Daylight Time on August 30, 2024.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C26224Q1360 0002_1.docx | DOCX document | |
| 36C26224Q1360 0001_1.docx | DOCX document | |
| 36C26224Q1360_FINAL.docx | DOCX document | |
| D.3.2 CONTRACTOR RULES OF BEHAVIOR AGREEMENT.pdf | ||
| 36C26224Q1360_1.docx | DOCX document | |
| D.2 Price Worksheet.xlsx | XLSX spreadsheet | |
| D.3.6 ADMISSION DENIAL REFERRAL TRACKER.xlsx | XLSX spreadsheet | |
| D.3.1 ADA Checklist for Emergency Shelters.pdf | ||
| D.3.4 EXTENSION EXAMPLE.docx | DOCX document | |
| D.3.5 SQUARES.pdf | ||
| D.3.3 HCHV INCIDENT REPORT BLANK.docx | DOCX document |
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Text version
Reference Contract #_______
| The legal name of entity with whom the Offeror held the contract |
| (example: Veterans Affairs, VISN 22) |
Contract Number
Whether the contract was for providing housing and recuperative care supportive services in community-based facilities.
A description providing details of the specific tasks the Offeror performed under that Contract
| In what geographic location the Offeror performed these services. |
| (example: Los Angeles county, NYC) |
The dates during which the Offeror performed the contract.
The average monthly number of people that the Contractor provided housing and recuperative care supportive services in community-based facilities.
Whether the provided reference contract is for services provided by the Quoter or provided by a proposed subcontractor of the Quoter’s.
Whether the Quoter or its proposed subcontractor was the prime contractor or a subcontractor for that provided reference contract.
The name, phone number, and email address of a person at the entity with whom the Quoter (or Quoter’s proposed subcontractor) held the contract who can verify the information the Quoter provides in the narrative description for this factor.
***This form may be replicated for additional reference contracts***
File details come from the government source that posted it. Updated .